REGIS NU641 Week 11 Quiz Latest 2020 October (100% Graded)

Week 11 Quiz

Question 1Clonidine has several off-label uses, including:

 a.alcohol and nicotine withdrawal.

 b.postherpetic neuralgia.

 c.both a and b.

 d.neither a nor b.

Question 2Which of the following drugs used to treat Alzheimer disease is not an anticholinergic?

 a.Donepezil

 b.Memantine

 c.Rivastigmine

 d.Galantamine

Question 3Which of these hypertension drugs has also been approved for the treatment of attention deficit hyperactivity disorder (ADHD)?

 a.Guanabenz

 b.Clonidine

 c.Guanfacine

 d.Doxazosin

Question 4A patient is taking levetiracetam (Keppra) to treat seizures. Routine education for levetiracetam includes reminding them:

 a.to not abruptly discontinue levetiracetam due to risk for withdrawal seizures.

 b.to wear sunscreen due to photosensitivity from levetiracetam.

 c.to get an annual eye exam while on levetiracetam.

 d.to report weight loss if it occurs.

Question 5A 10-year-old child is diagnosed with major depression. The appropriate first-line antidepressant for children is:

 a.fluoxetine.

 b.fluvoxamine.

 c.sertraline.

 d.escitalopram.

Question 6An adult female is taking valproate (Depakote) for seizures and would like to get pregnant. What advice would you give her?.0

 a.Valproate is safe during all trimesters of pregnancy.

 b.She can get pregnant while taking valproate, but she should take adequate folic acid.

 c.Valproate is not safe at any time during pregnancy.

 d.Valproate is a known teratogen but may be taken after the first trimester if necessary.

Question 7Prior to starting antidepressants, patients should have laboratory testing to rule out:

 a.hypothyroidism.

 b.anemia.

 c.diabetes mellitus.

 d.low estrogen levels.

Question 8Cholinergic blockers are used to:

 a.counteract the extrapyramidal symptom (EPS) effects of phenothiazines.

 b.control tremors and relax smooth muscle in Parkinson disease.

 c.inhibit the muscarinic action of acetylcholine (ACh) on bladder muscle.

 d.all of the above.

Question 9Nonpharmacologic therapy for tension headaches includes:

 a.biofeedback.

 b.stress management.

 c.massage therapy.

 d.all of the above.

Question 10Migraines in pregnancy may be safely treated with:

 a.acetaminophen.

 b.sumatriptan (Imitrex).

 c.ergotamine tablets (Ergostat).

 d.dihydroergotamine (DHE).

Question 11Several classes of drugs have interactions with cholinergic blockers. Which of the following is true about these interactions?

 a.Drugs with a narrow therapeutic range given orally may not stay in the gastrointestinal (GI) tract long enough to produce an action.

 b.Additive antimuscarinic effects may occur with antihistamines.

 c.Cholinergic blockers may decrease the sedative effects of hypnotics.

 d.Cholinergic blockers are contraindicated with antipsychotics.

Question 12When prescribing for migraines, patient education includes:

 a.triptans are safe to use as often as needed as long as the patient is healthy.

 b.use triptan before trying over the counter (OTC) meds such as acetaminophen or naproxen.

 c.stress reduction and regular sleep are integral to migraine treatment.

 d.If migraines worsen, they are to increase their medication.

Question 13Preventative therapy for cluster headaches includes:

 a.massage or relaxation therapy.

 b.verapamil.

 c.intranasal lidocaine four times a day during “clusters” of headaches.

 d.propranolol (Inderal) daily.

Question 14John is a 35-year-old male diagnosed with depression, who has been started on the selective serotonin reuptake inhibitor (SSRI) paroxetine (Paxil) 20mg po daily. John has been on the Paxil for two weeks and is not feeling any relief from the medication. What do you recommend for John?

 a.Continue therapy

 b.Increase his Paxil dose to 30 mg daily

 c.Change John to a different SSRI

 d.Add another antidepressant

Question 15Which of the following insomnia medications does not have increased risk for patients engaging in activities while somnolent with no memory of having taken a pill?

 a.Ramelteon (Rozerem)

 b.Zolpidem (Ambien)

 c.Zaleplon (Sonata)

 d.Eszopiclone (Lunesta)

Question 16When are migraines considered cured?

 a.Sumatriptan (Imitrex) is refilled less than twice per year

 b.Prophylactic treatment is no longer used

 c.Less than two migraines are experienced per month

 d.There is no known cure

Question 17Serotonin 5-HT receptor antagonists should be avoided in which of the following patient populations?

 a.Pregnant patients

 b.Heart Failure patients

 c.Dialysis patients

 d.Diabetic patients

Question 18Although your patient sees a neurologist for the management of her partial complex seizures, why is it is most important to know her medication regimen?

 a.You want to make sure that you have injectable fosphenytoin (Cerebyx) in your outpatient clinic

 b.Pregnancy concerns

 c.Maria might have high copays

 d.There are many drug-drug interactions with anticonvulsants

Question 19Peter is a 31-year-old male diagnosed with depression. He has been started on the SSRI sertraline (Zoloft) 100 mg po daily. After two years on SSRIs, Peter is feeling much better and would like to stop taking his sertraline (Zoloft). What do you recommend to avoid withdrawal syndrome?

 a.Slowly taper down the sertraline (Zoloft) dose until off.

 b.Because Zoloft has a long half-life, you can discontinue the Zoloft at this visit.

 c.Change the sertraline (Zoloft) to 100 mg as needed.

 d.Instruct Peter that SSRIs can never be stopped.

Question 20Antidepressants decrease the risk of suicidal thoughts and behavior in ALL children.

 True

 False